Transcription of INTERBANK GIRO APPLICATION FORM
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INTERBANK GIRO APPLICATION FORM
PART 1: FOR APPLICANT S COMPLETION (Complete all fields marked with ) SWIFT BIC MOM s Account No. WP Online Customer Reference No. DBSSSGSGXXX 0 0 3 9 0 2 2 1 0 7 EP Online Customer Reference No. Domestic Helpers eService Customer Reference No. To: MOM This APPLICATION is rejected (please tick ) due to the following reason(s): Signature/Thumbprint differs from Bank s records Amendment not signed by Bank Account Holder Wrong account number/name# Others: _____ Signature/Thumbprint is incomplete/unclear#
• Please tick √ the account(s) you wish to apply for GIRO and indicate your Entity’s number in the corresponding column. EP Online • Unique Entity No.:
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